DR. KEITH LYLE FULLER (D.O.) – Family Medicine Physician, NPI 1730125527
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,761 FAMILY PRACTICE in AL
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Provider Addresses for DR. KEITH LYLE FULLER (D.O.)
Gateway Drive, Opelika, Lee County, Alabama, 36801-5436, United States
SUITE C
OPELIKA, AL 368011500
Phone: (334) 741-0075
Fax: (334) 741-4075
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 218 Open Payments records for all available years, with a total value of $3,991.
Total Amount is formed as General ($3,991) + Research ($0) + Ownership ($0) = $3,991.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($767).
Total Amount
$3,991
General + Research + Ownership
Payments
218
Total payment records
General Amount
$3,991
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $767 |
| Otsuka America Pharmaceutical, Inc. | $661 |
| ABBVIE INC. | $590 |
| GlaxoSmithKline, LLC. | $295 |
| Lilly USA, LLC | $160 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051128000429 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 3,383 | 314 | $0 |
| 82947 | Blood glucose (sugar) level | 769 | 208 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 740 | 272 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 689 | 281 | $0 |
| 81002 | Urinalysis, manual test | 609 | 198 | $0 |
Insurance plans in this area (ZIP 36801)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL |
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